Spikes, spike and tubing sets and fluid administrations systems are disclosed. A fluid administration system may include a fluid container having a septum and containing a fluid, a spike, and a flexible tube. The spike may include a hollow access tube extending from a proximal end to a distal end of the spike, a platform surrounding the hollow access tube at a location between the distal and proximal ends, and a sharp tip-end at the distal end. The access tube has a central bore and a sidewall, each extending from the proximal to the distal end. The access tube may include at least one opening extending from the central bore to the sidewall and located between the platform and the sharp tip-end. The flexible tube is configured to connect to the access tube and to deliver fluid from the access tube to a fluid administration location.
